{% if info %}
<tr>
  <td class="introblock" colspan="2">
  <i>{{ info }}</i>
  </td>
</tr>
{% endif %}
<tr>
  <td class="introblock" valign="top" width="30%">
    {% if required %}<b>{{ header }}&nbsp;*</b>{% else %}{{ header }}{% endif %}
  </td>
  <td width="70%">
    {% for option in options %}
      <input name="{{ name }}" type="checkbox" value="{{ option.name }}"
      {% if option.checked %} checked="checked"{% endif %}/>{{ option.name }}<br />
    {% endfor %}
  </td>
</tr>
